Pros
Excellent compensation, above average benefits, some fun work to be done, and you can even have the glory of making a difference in the world by helping to make healthcare run more smoothly. Healthy work-life balance. The Implementation team is full of genuinely great people to work with. A success story in an industry with many fruits to offer big players like Surescripts.
Cons
Upper management is totally detached from reality. Incentive efforts are very present but totally nonsensical. Efforts have been underway for two years now to end silo-style thinking and working, but the biggest result has been more red tape and slower interdepartmental collaboration. The Oregon office is an afterthought backwater for the rest of the company. Top-down instigation of desired cultural norms only stymie any potentially positive developments. I don't know of anyone with a real career development path. Projects can drag on for YEARS. Many projects are officially given high priority because they sound good but are then unofficially dismissed since they're not actually important. No one ever wants to declare an end to a project, not even when it's already dead. We spend crazy amounts of cash to solve problems that could be solved with existing resources- this does make sense, though, because our silo style thinking prevents one group from ever knowing what resources are already available elsewhere. Lots of red tape, yet terrible workflow. It's like no one is awake at the helm. All the same, the company as a whole is doing very well, so I highly doubt anyone will feel the urgency to improve. Anyone who feels Surescripts isn't doing enough for their career is far more likely to leave than to scale the towering walls that surround the improvement the company deserves.